tetano
Editor, Senior Moderator
BMC Infect Dis. 2019 Sep 3;19(1):770. doi: 10.1186/s12879-019-4345-0.
[h=1]Lessons from an active surveillance pilot to assess the pneumonia of unknown etiology surveillance system in China, 2016: the need to increase clinician participation in the detection and reporting of emerging respiratory infectious diseases.[/h] Xiang N[SUP]1[/SUP], Song Y[SUP]2[/SUP], Wang Y[SUP]3,[/SUP][SUP]4[/SUP], Wu J[SUP]5[/SUP], Millman AJ[SUP]2[/SUP], Greene CM[SUP]2[/SUP], Ding Z[SUP]6[/SUP], Sun J[SUP]7[/SUP], Yang W[SUP]7[/SUP], Guo G[SUP]6[/SUP], Wang R[SUP]8[/SUP], Guo P[SUP]9[/SUP], Ren Z[SUP]10[/SUP], Gong L[SUP]5[/SUP], Xu P[SUP]7[/SUP], Zhou S[SUP]2[/SUP], Lin D[SUP]11[/SUP], Ni D[SUP]1[/SUP], Feng Z[SUP]1[/SUP], Li Q[SUP]12[/SUP].
[h=3]Author information[/h] 1 Chinese Center for Disease Control and Prevention, No. 155 Changbai Road, Changping District, Beijing, 102206, China. 2 US Centers for Disease Control and Prevention, Atlanta, GA, USA. 3 Beijing Municipal Center for Disease Prevention and Control, Beijing, China. 4 Beijing Research Center for Preventive Medicine, Beijing, China. 5 Anhui Provincial Center for Disease Control and Prevention, Hefei, Anhui, China. 6 Fuyang Prefecture Center for Disease Control and Prevention, Fuyang, Anhui, China. 7 Lu'an Prefecture Center for Disease Control and Prevention, Lu'an, Anhui, China. 8 The Second People's Hospital of Fuyang City, Fuyang, Anhui, China. 9 Lu'an People's Hospital, Lu'an, Anhui, China. 10 Changchun Prefecture Center for Disease Control and Prevention, Changchun, Jilin, China. 11 Fujian Provincial Center for Disease Control and Prevention, Fuzhou, Fujian, China. 12 Chinese Center for Disease Control and Prevention, No. 155 Changbai Road, Changping District, Beijing, 102206, China. liqun@chinacdc.cn.
[h=3]Abstract[/h] [h=4]BACKGROUND:[/h] We sought to assess reporting in China's Pneumonia of Unknown Etiology (PUE) passive surveillance system for emerging respiratory infections and to identify ways to improve the PUE surveillance system's detection of respiratory infections of public health significance.
[h=4]METHODS:[/h] From February 29-May 29, 2016, we actively identified and enrolled patients in two hospitals with acute respiratory infections (ARI) that met all PUE case criteria. We reviewed medical records for documented exposure history associated with respiratory infectious diseases, collected throat samples that were tested for seasonal and avian influenza, and interviewed clinicians regarding reasons for reporting or not reporting PUE cases. We described and analyzed the proportion of PUE cases reported and clinician awareness of and practices related to the PUE system.
[h=4]RESULTS:[/h] Of 2619 ARI admissions in two hospitals, 335(13%) met the PUE case definition; none were reported. Of 311 specimens tested, 18(6%) were seasonal influenza virus-positive; none were avian influenza-positive. < 10% PUE case medical records documented whether or not there were exposures to animals or others with respiratory illness. Most commonly cited reasons for not reporting cases were no awareness of the PUE system (76%) and not understanding the case definition (53%).
[h=4]CONCLUSIONS:[/h] Most clinicians have limited awareness of and are not reporting to the PUE system. Exposures related to respiratory infections are rarely documented in medical records. Increasing clinicians' awareness of the PUE system and including relevant exposure items in standard medical records may increase reporting.
[h=4]KEYWORDS:[/h] China; Emerging respiratory infectious disease; Novel influenza viruses; Pneumonia of unknown etiology; Surveillance system evaluation
PMID: 31481020 DOI: 10.1186/s12879-019-4345-0
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[h=1]Lessons from an active surveillance pilot to assess the pneumonia of unknown etiology surveillance system in China, 2016: the need to increase clinician participation in the detection and reporting of emerging respiratory infectious diseases.[/h] Xiang N[SUP]1[/SUP], Song Y[SUP]2[/SUP], Wang Y[SUP]3,[/SUP][SUP]4[/SUP], Wu J[SUP]5[/SUP], Millman AJ[SUP]2[/SUP], Greene CM[SUP]2[/SUP], Ding Z[SUP]6[/SUP], Sun J[SUP]7[/SUP], Yang W[SUP]7[/SUP], Guo G[SUP]6[/SUP], Wang R[SUP]8[/SUP], Guo P[SUP]9[/SUP], Ren Z[SUP]10[/SUP], Gong L[SUP]5[/SUP], Xu P[SUP]7[/SUP], Zhou S[SUP]2[/SUP], Lin D[SUP]11[/SUP], Ni D[SUP]1[/SUP], Feng Z[SUP]1[/SUP], Li Q[SUP]12[/SUP].
[h=3]Author information[/h] 1 Chinese Center for Disease Control and Prevention, No. 155 Changbai Road, Changping District, Beijing, 102206, China. 2 US Centers for Disease Control and Prevention, Atlanta, GA, USA. 3 Beijing Municipal Center for Disease Prevention and Control, Beijing, China. 4 Beijing Research Center for Preventive Medicine, Beijing, China. 5 Anhui Provincial Center for Disease Control and Prevention, Hefei, Anhui, China. 6 Fuyang Prefecture Center for Disease Control and Prevention, Fuyang, Anhui, China. 7 Lu'an Prefecture Center for Disease Control and Prevention, Lu'an, Anhui, China. 8 The Second People's Hospital of Fuyang City, Fuyang, Anhui, China. 9 Lu'an People's Hospital, Lu'an, Anhui, China. 10 Changchun Prefecture Center for Disease Control and Prevention, Changchun, Jilin, China. 11 Fujian Provincial Center for Disease Control and Prevention, Fuzhou, Fujian, China. 12 Chinese Center for Disease Control and Prevention, No. 155 Changbai Road, Changping District, Beijing, 102206, China. liqun@chinacdc.cn.
[h=3]Abstract[/h] [h=4]BACKGROUND:[/h] We sought to assess reporting in China's Pneumonia of Unknown Etiology (PUE) passive surveillance system for emerging respiratory infections and to identify ways to improve the PUE surveillance system's detection of respiratory infections of public health significance.
[h=4]METHODS:[/h] From February 29-May 29, 2016, we actively identified and enrolled patients in two hospitals with acute respiratory infections (ARI) that met all PUE case criteria. We reviewed medical records for documented exposure history associated with respiratory infectious diseases, collected throat samples that were tested for seasonal and avian influenza, and interviewed clinicians regarding reasons for reporting or not reporting PUE cases. We described and analyzed the proportion of PUE cases reported and clinician awareness of and practices related to the PUE system.
[h=4]RESULTS:[/h] Of 2619 ARI admissions in two hospitals, 335(13%) met the PUE case definition; none were reported. Of 311 specimens tested, 18(6%) were seasonal influenza virus-positive; none were avian influenza-positive. < 10% PUE case medical records documented whether or not there were exposures to animals or others with respiratory illness. Most commonly cited reasons for not reporting cases were no awareness of the PUE system (76%) and not understanding the case definition (53%).
[h=4]CONCLUSIONS:[/h] Most clinicians have limited awareness of and are not reporting to the PUE system. Exposures related to respiratory infections are rarely documented in medical records. Increasing clinicians' awareness of the PUE system and including relevant exposure items in standard medical records may increase reporting.
[h=4]KEYWORDS:[/h] China; Emerging respiratory infectious disease; Novel influenza viruses; Pneumonia of unknown etiology; Surveillance system evaluation
PMID: 31481020 DOI: 10.1186/s12879-019-4345-0
Free full text